Global & Disaster Medicine

Archive for the ‘Tropical storms’ Category

FEMA Sit Rep: Health and Medical issues after Michael as of October 14

GA: 2 (-5) hospitals on generator power, 1 (+1) no power; 1 nursing home no power, 9 (-13) on generator power; 10 (-11) sheltering-in-place •

FL: 3 hospitals closed; 8 dialysis centers closed; Nursing Homes/ Assisted Living Facilities: 18 sheltering in place, 2 with no power, 17 (-1) on generator power, 1(-1) closed/evacuating, and 7 (-1) closed/evacuated •

HHS DMATS: FL: 6; AL 1 (and 1 DMORT); 1 cache staged in Atlanta, GA

Local, state, and Federal responses continue after Michael

AL EOC at Partial Activation:

o Governor declared a statewide State of Emergency

o Emergency Declaration FEMA-3407-EM approved on October 12th

• FL EOC at Full Activation:

o Governor declared a State of Emergency for 35 counties

o Emergency Declaration FEMA-3405-EM-FL approved October 9th

o Major Disaster Declaration FEMA-4399-DR-FL approved October 11th

GA EOC at Full Activation:

o Governor declared State of Emergency for 108 counties

o Emergency Declaration FEMA-3406-EM-GA approved on October 10th

o Governor requested an Major Disaster Declaration on October 12th

NC EOC at Monitoring; Governor declared a State of Emergency

SC EOC at Normal Operations; Governor declared a State of Emergency

TN EOC at Monitoring (EMAC support)

• VA EOC at Monitoring; Governor declared a State of Emergency


FEMA Region IV

• RRCC at Level I (24/7), all ESFs, DCO/DCE and DHS NPPD

• LNOs deployed to FL and GA

• IMAT-2 deployed to FL EOC


FEMA HQ/Federal Response

• NRCC at Level II with select ESFs

• National IMAT East deployed to FL EOC

• Region II IMAT deployed to AL EOC

• Region V IMAT deployed to GA EOC

• ISB Team deployed to Montgomery, AL

• Staging areas: Montgomery, AL (Maxwell AFB); Fayetteville, NC (Ft Bragg); North AF AUX, SC

The Condition of Healthcare after Michael

FEMA Daily Operations Briefing for October 13, 2018

Health and Medical

• GA: 7 hospitals & 20 nursing homes/assisted living facilities on generator power, 6 dialysis centers closed

• FL: 4 hospitals closed; 8 dialysis centers closed; 23 nursing homes/assisted living facilities closed, 20 on generator power, 2 without power

• HHS DMATS: FL: 6; AL 1 (and 1 DMORT); 1 cache staged in Atlanta, GA

Hurricane Leslie swept into the centre and north of Portugal leaving 15 000 homes without power.


Mexico Beach reduced to rubble in the aftermath of Michael


“……..Mr. Foster, 60, and his 99-year-old mother had no car, no electricity. The food had spoiled in his refrigerator. The storm had ripped off large sections of his roof. He had no working plumbing to flush with. No water to drink. And as of Friday afternoon, he had seen no sign of government help……This was the problem that government officials were racing to solve on Friday, as desperation grew in and around Panama City under a burning sun. Long lines formed for gas and food, and across the battered coastline, those who were poor, trapped and isolated sent out pleas for help……”

Tyndall Air Force Base took a “direct hit” from Michael’s eye


NASA: Florida Slammed by Hurricane Michael

Florida Slammed by Hurricane Michael
Florida Slammed by Hurricane Michael

At approximately 1:30 p.m. Eastern Daylight Time (17:30 Universal Time) on October 10, 2018, Hurricane Michael made landfall near Mexico Beach, Florida. Wind speeds were estimated to be 155 miles (250 kilometers) per hour, which would make the category 4 hurricane the strongest on record to hit the Florida Panhandle. The storm has already destroyed homes and knocked out electric power in the area. Forecasters expect Michael to bring heavy winds and rain to the southeastern United States for several days.

The Geostationary Operational Environmental Satellite 16 (GOES-16) acquired data for the composite images above around 1 p.m. Eastern Time on October 10. GOES-16 data (band 2) were overlaid on a MODIS “blue marble.” GOES-16 is operated by the National Oceanic and Atmospheric Administration (NOAA); NASA helps develop and launch the GOES series of satellites.

The National Weather Service office in Tallahassee issued an extreme wind warning as the storm approached. Forecasters were expecting large storm surges—rising seawater that moves inland as it is pushed onshore by hurricane-force winds. The worst surges were expected to inundate areas between Tyndall Air Force Base and Keaton Beach with 9 to 14 feet of water on October 10.

As the storm moves inland, forecasters expect life-threatening winds to also affect parts of Alabama and Georgia. Areas as far as southeastern Virginia could see several inches over the next three days. North Carolina has declared a state of emergency as the storm forecast has it passing over areas that were affected by Hurricane Florence last month.

NASA Earth Observatory images by Joshua Stevens, using data from GOES-16. Story by Kasha Patel.

Hurricane Michael Reaches North Carolina

Hurricane Michael Reaches North Carolina

Since making landfall in Florida on October 10, 2018, Hurricane Michael has caused severe property damage and several deaths in Florida, Alabama, Georgia, South Carolina, and North Carolina. Forecasters expect the storm center will continue to track across North Carolina and Virginia, bringing the potential for life-threatening flash flooding. Michael should move into the western Atlantic Ocean by October 12.

The natural-color image above was taken on the morning of October 11, 2018, as the storm made its way into North Carolina. The image was acquired by the Moderate Resolution Imaging Spectroradiometer (MODIS) on NASA’s Terra satellite.

The category 4 hurricane weakened throughout October 10 and was downgraded to a tropical storm by October 11. The Visible Infrared Imaging Radiometer Suite (VIIRS) on the Suomi NPP satellite acquired data for the composite image below in the early morning hours of October 11, as the storm passed over Georgia and South Carolina. The false-color image shows infrared signals known as brightness temperature, which helps distinguish the shape and temperature of the clouds. The image was overlaid on data from the VIIRS “day-night band.”

According to news reports, the storm knocked out power to hundreds of thousands of homes and radio towers, making communication difficult. Water levels in several rivers in North Carolina and Virginia rose by several feet in a matter of hours and are expected to enter moderate to major flooding stages. The National Weather Service also warned about the potential for tornadoes in North Carolina and Virginia.

NASA Earth Observatory image by Joshua Stevens, using MODIS data from NASA EOSDIS/LANCE and GIBS/Worldview and VIIRS data from the Suomi National Polar-orbiting Partnership. Story by Kasha Patel.

Hospitals in crisis after Michael


  • “…Bay Medical Center, a 300-bed hospital…..The governor had announced that all of the patients in the hospital were to be evacuated, which was expected to take 48 hours.
  • And other residents of the ravaged city were still showing up asking for medical care only to be turned away……
  • Some hospitals in the region closed entirely, and others evacuated their patients, but kept staff in place to run overwhelmed emergency rooms.
  • In Florida, four hospitals and 11 nursing facilities were closed….
  • 35 hospitals or nursing homes in that state were without electricity and operating with generators……
  • Federal health officials said they were moving approximately 400 medical and public health responders into affected areas, including six disaster teams that can set up medical operations outdoors. Some were heading to an overwhelmed emergency department in Tallahassee.
  • Other federal medical personnel were being assigned to search-and-rescue teams to triage people who were rescued…
  • There was a rush to move around 40 people — post-heart surgery patients, critically ill septic patients, respiratory failure patients on ventilators — to safer quarters on lower floors in the central part of the building.
  • Staff members and nurses had to carry some patients down stairways, fearing that the elevators had become unsafe……
  • Gulf Coast Regional Medical Center said on Thursday that it was evacuating all of its approximately 130 inpatients, starting with the most critically ill. The hospital, which was running on backup generator power, had sustained roof and window damage from the storm.……

Michael: Six deaths have been confirmed – four in Florida, one in Georgia, and one in North Carolina.

Weather Channel

“…..In the town of Chattahoochee, the Florida State Hospital, which is the state’s largest and oldest psychiatric hospital, was inaccessible in the wake of Michael, according to the Miami Herald. The facility’s 975 residents and 325 staffers had ample supplies, especially after food and water drops via helicopter, but the hospital lost all communication with the outside world, the report added…..”



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